Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $7,259.06 / $7,259.06	Facility		$988.00	$7,259.06	$7,259.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $106.20 / $178.88	Professional		$60.41	$106.20	$178.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $177.16 / $319.77	Professional		$76.13	$177.16	$319.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $180.68 / $286.89	Professional		$152.79	$180.68	$286.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $179.63 / $246.55	Professional		$71.06	$179.63	$246.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $206.96 / $276.08	Professional		$122.09	$206.96	$276.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $115.60 / $298.45	Professional		$29.27	$115.60	$298.45